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Patho
Lab
Assessment
Medical Management
Interventions
100

Insulin was first created in 1922 by this Canadian Doctor.

Just a fun fact. 

Who is Dr. Frederick Banting

100
True or false; diabetic ketoacidosis labs would show hyperosomolality?
What is true
100
What type of respirations would a patient with diabetic ketoacidosis present with?
What is Kussmauls
100

When a DKA patient is first admitted the immediate medical intervention is this?

What is fluid replacement ( bolus should be administered over 1 hour).

100
Name a complication of diabetic ketoacidosis
What is pulmonary edema, cerebral edema, vascular collapse, hypokalemia, hyperkalemia, seizure, shock, decreased LOC, renal failure, cardiac arrest, hypotension
200
DKA is more common in this type of diabetes.
What is type 1
200

What would be the pH of a patient with diabetic ketoacidosis?

What is <7.35

200

Name the two p's that a patient with diabetic ketoacidosis presents with

What is polydipsia and polyuria

200

In the later treatment of DKA, providers may order this substance to be in the IV fluids in order to prevent hypoglycemia.

What is dextrose

200
Name one sign or symptom of hypervolemia
What is neck vein distention, pulmonary crackles and edema, increased CVP/PAOP
300

This is one of the hormones that is released to promote gluconeogenesis.

What is Glucagon 

300
Would your electrolytes (K, Na) be low or high for a patient with diabetic ketoacidosis?
What is high
300
What is a poor prognostic sign for a patient presenting with diabetic ketoacidosis?
What is severe hyperthermia
300
This medication is the cornerstone of DKA therapy and is given as a continuous infusion.
What is insulin
300
What should be started first- volume replacement or insulin?
What is volume replacement
400
These are a bi-product of fat tissue breakdown that causes acidosis in the body.
What is ketones
400

Would your bicarbonate level be low or high for a patient with diabetic ketoacidosis?

What is low.

400
When a patient presents with diabetic ketoacidosis, what is the first task a nurse wants to do at the bedside?
What is an immediate glucose level
400
Insulin drives this electrolyte back into the cells?
What is K
400
What do you infuse after the blood glucose level is <300mg/dL?
What is D5 half normal saline or D5W
500

When glucose is present and leaves the renal tubules and takes H2O, Na, K, ammonium, phosphate and other salts with it, this process is occurring.

What is osmotic diueresis

500

True or false; a patient with diabetic ketoacidosis would have a serum glucose lab value of 400mg/dL?

What is true

500

What is one question you would ask the patient when taking his/her history?

What is precipitating causes, any recent infection, appetite, weight change, food and fluid intake, thirst, abd bloating, abd discomfort, bowel function, urinary frequency and amount, altered mentation and responsiveness

500

The replacement of this blood gas is controversial in the treatment of DKA, but it has been shown to have some effect on pH

What is bicarbonate

500
What is one intervention the nurse may complete with abdominal bloating and discomfort for a patient who presents with DKA?
What is put in a nasogastric tube